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Organization

LOOK STORE

Active
Parent organization
LOOK STORE
Other names
Cherry Hill Vision
Organization subpart
Yes

Provider details

NPI number
Legal business name
LOOK STORE
Authorized official
CHUN AUYEUNG (OPTOMETRIST)
(352) 562-4087
Entity
Organization

Contact information

Practice address
12000 CHERRY HILL RD, SILVER SPRING, MD 20904-1985
(301) 572-6769
Mailing address
16800 CENTERFIELD WAY, OLNEY, MD 20832-2031
(352) 562-4087

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073878476
OPTOMETRIST
Enumeration date
08/30/2017
Last updated
08/30/2017
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